Femoroacetabular Impingement

Ganz, Reinhold; Parvızı, Javad; Beck, Martín; Leunig, Michael; Nötzli, Hubert; Siebenrock, Klaus A.

doi:10.1097/01.blo.0000096804.78689.c2

Cited by 2,970 publications

(397 citation statements)

References 23 publications

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“…A síndrome do impacto femoroacetabular (SIFA) é uma condição clínica que consiste no impacto precoce entre o fêmur proximal e o acetábulo, 1 e é uma causa comum de dor no quadril e incapacidade física em indivíduos adultos jovens. 2 3 É descrita como um distúrbio clínico do quadril relacionado ao movimento, em que o indivíduo apresenta uma tríade de sinais e sintomas clínicos, que envolve dor, limitação da amplitude de movimento do quadril e incapacidade funcional, atrelada aos achados de imagem característicos de alterações morfológicas na junção colo-cabeça do fêmur, ou impacto do tipo cam , no rebordo acetabular, ou impacto do tipo pincer , ou ambos, conhecido como impacto do tipo misto.…”

Section: Introductionunclassified

“…Apesar de plausível, a associação entre a morfologia alterada ou o dano dos tecidos moles articulares 1 e a manifestação dos sintomas e incapacidade funcional dos indivíduos com SIFA ainda permanece incerta. A prevalência de patologias intra-articulares dos tecidos moles que se acredita estarem associadas à SIFA foi relatada em uma revisão recente, 7 e os dados indicam que lesões labrais foram observadas em 62% dos indivíduos sintomáticos e em 54% dos assintomáticos.…”

Section: Introductionunclassified

“…Femoroacetabular impingement syndrome (FAIS) is a clinical condition characterized by the early impact between the proximal femur and the acetabule, 1 and it is a common cause of hip pain and physical disability in young adult individuals. 2 3 It is described as a clinical disorder of the hip related to movement, in which the individual presents a triad of clinical signs and symptoms involving pain, limitation of the range of motion of the hip, and functional disability, linked to imaging findings characteristic of morphological changes in the neck-head junction of the femur, or cam-like impact, on the acetabular edg, e or pincer-type impact or both, known as mixed impact.…”

Section: Introductionmentioning

confidence: 99%

“…Although plausible, the association between altered morphology or damage to the soft tissue of the joint 1 and the manifestation of symptoms and functional disability of the individuals with FAIS remains uncertain. The prevalence of pathologies of the intra-articular soft tissue believed to be associated with FAIS has been reported in a recent review, 7 and data indicate that labral lesions have been observed in 62% of symptomatic individuals and in 54% of asymptomatic individuals.…”

Section: Introductionmentioning

confidence: 99%

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Correlação entre intensidade da dor e incapacidade com as lesões intra-articulares em pacientes com síndrome do impacto femoroacetabular

Polesello

Rabelo

Garcia

et al. 2022

Rev Bras Ortop (Sao Paulo)

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Resumo Objetivo Correlacionar alterações radiográficas e lesões de estruturas intra-articulares do acetábulo com a intensidade da dor e a incapacidade de pacientes com diagnóstico de síndrome do impacto femoroacetabular. Métodos Realiou-se uma análise retrospectiva de dados pré-operatórios de 182 pacientes (190 quadris). Foram avaliadas variáveis clínicas como idade, sexo e prática de atividade física, e variáveis radiográficas, como ângulo de Wiberg e o ângulo alfa. Por meio do vídeo intraoperatório, foi avaliada a extensão das lesões condrais e labiais considerando-se o método clock-face, o grau de comprometimento articular pela classificação de Outerbridge, e a presença de lesão em onda. As variáveis foram analisadas por meio de regressão linear, tendo como variáveis dependentes a intensidade da dor, avaliada pela Escala Visual Analógica (EVA), e a incapacidade funcional, mensurada pelo Harris Hip Score modificado (HHSm). Resultados A média de idade dos pacientes foi de 38,5 ± 9,6 anos, a da intensidade da dor, 7,8 ± 1,6, e a do HHSm, 56,3 ± 12,7. No total, 61% da amostra apresentava Outerbridge III ou IV, e 12,6% apresentava lesão em onda. Observou-se correlação do sexo masculino (r = 0,497) com menor intensidade da dor, e correlação da idade (r = −0,27), do sexo masculino (r = 8,419) e da realização de atividade física com maior escore funcional no HHSm (r = 4,729). Conclusão Não houve correlação dos parâmetros radiográficos e artroscópicos deste estudo com a intensidade da dor e a incapacidade dos pacientes. O sexo masculino está relacionado com menor intensidade da dor, e maior capacidade funcional está relacionada com o sexo masculino, menor idade, e a prática de atividade física. Nível de Evidência IV.

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Section: Introductionunclassified

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Correlação entre intensidade da dor e incapacidade com as lesões intra-articulares em pacientes com síndrome do impacto femoroacetabular

Polesello

Rabelo

Garcia

et al. 2022

Rev Bras Ortop (Sao Paulo)

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“…It is caused by early contact between the proximal femur and acetabulum during hip flexion and rotations, and it results in hip pain and intra-articular lesions. 9 , 11 FAIS is frequently diagnosed in generally young and active individuals upon a triad of symptoms, clinical signs, and radiological features. 11 Notably, FAIS seems to be a risk factor for the early development of hip osteoarthritis (OA), 18 particularly in the presence of a structural alteration of the proximal femur (cam morphology), 1 while acetabular overcoverage/retroversion could be present (pincer morphology).…”

mentioning

confidence: 99%

Sex-Specific Differences in Hip Muscle Cross-sectional Area and Fatty Infiltration in Patients With Femoroacetabular Impingement Syndrome

Douma

Casartelli

Sutter

et al. 2023

Orthopaedic Journal of Sports Medicine

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Background: Patients with femoroacetabular impingement syndrome (FAIS) show sex-specific differences in hip muscle function, hip morphology, and symptoms. Possible differences in hip muscle characteristics between men and women with FAIS are unknown. Purpose: To compare hip muscle cross-sectional area (CSA) and fatty infiltration between men and women with FAIS and investigate possible associations with patient-reported outcomes. Study Design: Cohort study; Level of evidence, 3. Methods: We retrospectively analyzed preoperative axial pelvic magnetic resonance imaging scans of 104 patients (54 women) who underwent hip surgery for FAIS. The main outcome measures were side-to-side percentage asymmetry in hip muscle CSA and involved-side fatty infiltration as measured with the Goutallier scale for a total of 10 hip muscles. Patient-reported outcomes included duration of hip symptoms, iHOT-12 (12-item International Hip Outcome Tool), and Hip Sports Activity Scale. Results: Women showed larger hip abductor muscle CSA asymmetry than men ( P = .018), particularly for the gluteus medius ( P = .049), while men exhibited more fatty streaks (grade 1) in the gluteus medius ( P = .015) than women. Duration of symptoms was associated only with fatty infiltration of obturator externus in men ( r S = –0.55, P = .018). iHOT-12 was associated with CSA asymmetry of the gluteus minimus ( r = –0.41, P = .011) and iliopsoas ( r = –0.36, P = .028) in men and with piriformis fatty infiltration ( r S = –0.56, P = .030) in women. The Hip Sports Activity Scale was associated with iliopsoas CSA asymmetry ( r S = 0.32, P = .026) and with fatty infiltration of the tensor fasciae latae ( r S = –0.45, P = .046) and obturator externus ( r S = –0.50, P = .023) in women. Conclusion: Patients with FAIS demonstrated few sex-specific quantitative and qualitative alterations of hip muscles. Women showed greater hip abductor muscle atrophy than men, particularly for the gluteus medius, while men showed a higher degree of fatty infiltration in this same muscle. The duration of hip symptoms was not associated with muscle atrophy. Patient-reported hip pain/function and sport activity level were only moderately associated with isolated muscular variables.

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Interventions for treating slipped upper femoral epiphysis (SUFE)

Alshryda

Tsang

Al‐Shryda³

et al. 2013

Cochrane Database of Systematic Reviews

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The primary objective of this review is to assess the effects of non-operative treatments such as hip spica or traction, and surgical treatments such as pinning in situ and open reduction and fixation for the treatment of slipped upper femoral epiphysis (SUFE). Secondary objectives include; assessing the effects of timing of the surgery on the outcome AVN, assessing the effects of prophylactic fixation of the contralateral unaffected side and finding predictors for development of contralateral slips in patients with SUFE. 1 Interventions for treating slipped upper femoral epiphysis (SUFE) (Protocol)

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Femoroacetabular Impingement

Cited by 2,970 publications

References 23 publications

Correlação entre intensidade da dor e incapacidade com as lesões intra-articulares em pacientes com síndrome do impacto femoroacetabular

Correlação entre intensidade da dor e incapacidade com as lesões intra-articulares em pacientes com síndrome do impacto femoroacetabular

Sex-Specific Differences in Hip Muscle Cross-sectional Area and Fatty Infiltration in Patients With Femoroacetabular Impingement Syndrome

Interventions for treating slipped upper femoral epiphysis (SUFE)

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